Individual
MRS. ALLISON D ELLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
590 COURT STREET, KEENE, NH 03431
(603) 354-5482
Mailing address
153 DEAN FARM ROAD, JAFFREY, NH 03452
(603) 532-9379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0499
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332747
—
NH
Enumeration date
07/12/2006
Last updated
07/08/2007
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